94VOG Personal Assistant Application Form Submission Title *: Miss.First Name *: Last Name *: Address 1 *: Address 2: Town *: Dinas powisCounty *: VALE OF GLAMORGANPostcode *: Phone number *:Please enter your email address for submission confirmation. *:Reference number of job being applied for *: I confirm that I have the right to work in the UK and am able to prove my eligibility status when required to do so. *: YesPlease read the Job Description carefully before providing information in this Section of the Application Form. Give details of your previous employment or experience which you think would help you to do this job. *: I am a registered mental nurse ,having had a wide range of nursing experience,including looking after patients who have had mental health issues,Korsakoffs syndrome, learning disabilities and autism What qualities do you think are important when working as a personal assistant with a disabled person? *: 1)Having good communication skills. And being an active listener. 2) Good organisational skills 3)Having a personality that can adapt to the individual needs and requirements. 4) Being flexible. 5) Having a sister with a learning disability. 6)Having good problem solving skills. 7)Being caring and understanding of the individuals needs.How do you think you can contribute towards the needs and the independence of a disabled person? *: 1) By firstly building up a rappor with the individual and therefore in time, this will gradually build up their trust to make them feel safe and supported. 2) By prompting and encouraging the individual to become independent and feel supported by encouraging them to make their own decisions and therefore lifting their self esteem. What is it about PA work which appeals to you? *: I like the fact, I will be working with the individual on a one to one basis and Im able to give them my individual attention.What are your hobbies/interests?: Dancing, walking the dog ,listening to music ,cycling swimming and going to the gym. Would you consider a casual position if you are unsuccessful with this job? *: YesDo you drive? *: YesAre you a vehicle owner? *: YesDo you smoke? *: NoAre you able to undertake training? *: YesWhat days/nights are you able to work, or prefer to work? *: Week days (Flexible)Are there any circumstances which would prevent you from providing cover or swapping a shift? *: YesIf you would like to expand on the answers given above? Please use the box below.: If Ive got an important appointmentIs there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? *: Yes/Please provide details if necessary: Failure to provide a speciman of breath for analysis in 2018. A fine and removal of driving licence for 13 months on condition I completed a driving rehabilitation courseI agree that there is nothing which would prevent me from doing this job. *: YesI consent to the above *: YesI agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: YesWhat geographical area’s are you able to cover?: The Vale of GlamorganHow many hours of work can you offer per week?: Negotiable Please indicate the approximate times that you are available for work throughout the week.: Further Information: Negotiable